<%@ page language="java" contentType="text/html; charset=UTF-8" pageEncoding="UTF-8"%>
<%
	String path = request.getContextPath();
	String basePath = request.getScheme() + "://"+ request.getServerName() + ":" + request.getServerPort() + path + "/";
%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<title>医学研究登记备案信息系统</title>
<base href="<%=basePath%>">
<meta http-equiv=X-UA-Compatible content=IE=EmulateIE7 />
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<%@ include file="/commons/meta.jsp"%>
<meta http-equiv="pragma" content="no-cache">
<meta http-equiv="cache-control" content="no-cache">
<meta http-equiv="expires" content="0">
<link href="<%=basePath%>css/style.css" rel="stylesheet" type="text/css" />
<script src="/js/common.js"></script>
<script type="text/javascript" src="/scripts/jquery.md5.js"></script>
<script type="text/javascript" src="/js/admin/user_login_edit.js"></script>
<script type="text/javascript">
var basePath = "<%=basePath%>";
</script>
<script type="text/javascript" src="/scripts/Validform_v5.3.2_min.js"></script>
</head>
<body>

<div id="MainContainer">
	
   <div id="heardbanner">
  	<img src="images/banner.jpg" alt="医学研究登记备案信息系统" width="1003" height="128" />
  	<div style="margin-top: 10px; margin-left: 30px;">
  	</div>
</div>
		<div id="wrap">
			  <div id="reasonId" class="reg_form" style="margin-left: 30px; font-size: 14px; display: none;">
			    审查状态：<span style="font-weight: bold; color: red;">未通过</span> <br><br>
			    审查意见：<span id="sjreson" style="font-weight: bold; color: red;"></span>
			    <br><br>当您填写完毕后请点击“保存”按钮由省级管理员工作人员审查。 <br><br>
			    <button onclick="history.go(-1);" class="btnMin" style="width: 150px;">返回 Back</button>
			  </div>
			<!-- 添加或更新用户  -->
			<div id="reg1" class="reg_form">
				<form name="kedaoForm" id="kedaoForm" class="kedaoForm" action="/admin/org!saveloginUser.action" method="post">
				<input type="hidden" id="id" name="id"/>
				<ul>
					<li class="name">用户名：
					</li>
					<li class="inpu">
					<input id="username" name="username" value="" type="text" class="texboxReg" ajaxurl="/admin/org!checkuserlogin.action" datatype="*" sucmsg="用户名验证通过！"/>
					
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">密码：
					</li>
					<li class="inpu">
					<input id="password" name="password" value="" type="password" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">确认密码：
					</li>
					<li class="inpu">
					<input id="tpassword" name="tpassword" value="" type="password" class="texboxReg" datatype="*" recheck="password"/>
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">真实姓名：
					</li>
					<li class="inpu">
					<input id="truename" name="truename" value="" type="text" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">机构名称：
					</li>
					<li class="inpu">
					<input id="name" name="name" value="" type="text" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">机构类型：</li>
					<li class="inpu">
						<select id="organType" name="organType" datatype="*">
							<option value="医院">医院</option>
							<option value="其他">其他</option>
						</select>
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">机构等级：</li>
					<li class="inpu">
					  <select id="organLevel" name="organLevel" datatype="*">
							<option value="三级甲">三级甲</option>
							<option value="三级乙">三级乙</option>
							<option value="三级丙">三级丙</option>
							<option value="二级甲">二级甲</option>
							<option value="二级乙">二级乙</option>
							<option value="二级丙">二级丙</option>
							<option value="一级甲">一级甲</option>
							<option value="一级乙">一级乙</option>
							<option value="一级丙">一级丙</option>
						</select>
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">组织机构编码：</li>
					<li class="inpu">
					<!-- 
					<input id="organCode" name="organCode" value="" type="text" class="texboxReg" ajaxurl="/admin/org!checkOrgcodelogin.action" datatype="*" sucmsg="组织机构编码验证通过！"/>
					 -->
					<input id="organCode" name="organCode" value="" type="text" class="texboxReg" datatype="*" sucmsg="验证通过！"/>
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">地址：</li>
					<li class="inpu">
					<input id="address" name="address" value="" type="text" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">邮编：</li>
					<li class="inpu">
					<input id="postCode" name="postCode" value="" type="text" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">联系人：</li>
					<li class="inpu">
					<input id="contactUser" name="contactUser" value="" type="text" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">联系人电话：</li>
					<li class="inpu">
					<input id="contactPhone" name="contactPhone" value="" type="text" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">联系人手机：</li>
					<li class="inpu">
					<input id="contactMobile" name="contactMobile" value="" type="text" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">联系人邮箱：</li>
					<li class="inpu">
					<input id="contactEmail" name="contactEmail" value="" type="text" class="texboxReg" datatype="e" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				<ul>
					<li class="name">机构负责人：</li>
					<li class="inpu">
					<input id="responsiblePerson" name="responsiblePerson" value="" type="text" class="texboxReg" datatype="*" />
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>				
				<ul>
					<li class="name">省份：</li>
					<li class="inpu">
					<select id="province" name="province"></select>
					</li>
					<li><span class="Validform_checktip spanTip note">（必填 ）</span></li>
				</ul>
				</form>
			</div>
			
			<div class="reg_form">
				<ul>
					<li class="name">
						&nbsp;
					</li>
					<li class="inpu">
						<span id="nextid"><input type="button" value=" 保存" onclick="submitForm();" class="btn" /></span>
					</li>
				</ul>
			</div>
			
		</div>
		<jsp:include page="/index/footer.jsp"></jsp:include>
		
	</div>
</body>
</html>